Author/Authors :
Boombhi, Jérôme University of Yaounde I - Faculty of Medicine and Biomedical Sciences - Department of Internal Medicine and Specialties, Cameroon , Boombhi, Jérôme Yaounde General Hospital - Internal Medicine service, Cameroon , Moor, Vicky Jocelyne Ama University of Yaounde I - Faculty of Medicine and Biomedical Sciences - Department of Internal Medicine and Specialties, Department of Physiological and Biochemical Sciences, Cameroon , Menanga, Alain University of Yaounde 1 - Faculty of Medicine Biomedical Sciences - Department of Internal Medicine Specialties, Cameroon , Menanga, Alain Yaounde General Hospital - Internal Medicine service, Cameroon , Kamguia, Arnaud University of Yaounde I - Faculty of Medicine and Biomedical Sciences - Department of Internal Medicine and Specialties, Cameroon , Hamadou, Bâ University of Yaounde I - Faculty of Medicine and Biomedical Sciences - Department of Internal Medicine and Specialties, Cameroon , Kingue, Samuel University of Yaounde I - Faculty of Medicine and Biomedical Sciences - Department of Internal Medicine and Specialties, Cameroon , Kingue, Samuel Yaounde General Hospital - Internal Medicine service, Cameroon
Abstract :
Objectives. Therapeutic adherence is defined by the degree at which the patient complies with the pharmacologic and non-pharmacologic treatment. It is stratified at 3 levels: pharmacologic treatment, hygiene of life and medical follow-up. Achieving optimal blood pressure control through good adherence to low sodium diet would reduce the occurrence of complications due to hypertension. The aim of our study was to evaluate the adherence of patients with hypertension to low sodium diet, at Yaoundé general hospital. Methods. We conducted a cross-sectional study including 148 hypertensive patients who were on pharmacologic treatment and were being followed up at Yaounde General Hospital, from 02 January to 22 April 2016. The study variables were adherence to pharmacologic therapy by the girerd test and adherence to low sodium diet by spot urinary sodium level. Statistical analysis was carried out by the software Epi info 3.5.4. Results. One hundred forty eight (148) hypertensive patients were recruited. The male/female ratio was 0.56, with the age range 46-65 years being mostly represented. 118 participants (79.7%) resided in urban areas. 96 patients (64.9%) were treated with thiazide diuretics and 85 (57.5%) had poor adherence to pharmacologic therapy. The estimated mean 24-h urine sodium was 7.76 ± 3.37 g / 24 h. Forty-seven patients had recommended salt intake ( 6 g / 24 h), 92 patients (62.2%) had an inadequate salt intake and 9 (6%) patients had excessive salt intake. Conclusion. Adherence of hypertensive patients to lowsodium diet is not satisfactory at Yaounde. Only 31, 7% of hypertensive patients comply with the low sodium diet.
NaturalLanguageKeyword :
Adherence , low sodium diet , urinary excretion , hypertension , Yaounde general hospital
